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Lockport Foot Care, PLLC
Harry I. Zirna, DPM

March 2019

Ankle pain is the general term that encompasses several types of chronic foot conditions and injuries. These may include ankle arthritis, stress fractures, and sprains. There are various symptoms that are associated with different types of ankle injuries, which may consist of pain, throbbing, or burning. If your ankle is sprained, it generally means that an injury has occurred to the ligaments that connect the bones together. This may happen from unexpectedly stepping off a curb, falling, or participating in running and jumping activities. This type of injury may often be accompanied by pain, bruising, or swelling. Additionally, rheumatoid arthritis is considered to be an autoimmune condition, and may attack the joints in the ankle. If you have any type of ankle pain, it is advised that you speak to a podiatrist as quickly as possible who can determine the cause and begin proper treatment.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with Dr. Harry I. Zirna from Lockport Foot Care, PLLC. Dr. Zirna will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

  • Types of arthritis (rheumatoid, osteoarthritis, and gout)
  • Ankle sprains
  • Broken ankles
  • Achilles tendinitis
  • Achilles tendon rupture
  • Stress fractures
  • Bursitis
  • Tarsal tunnel syndrome
  • Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

If you have any questions, please feel free to contact our offices located in Lockport and Medina, NY. We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

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Monday, 25 March 2019 00:00

Ankle Pain

The ankle joint is the point at which the bones of the leg and foot join. This joint is crucial because it is responsible for the foot’s mobility. Ankle pain is typically the result of inflammation from an injury to bones, joint space, cartilage, ligaments, tendons, or muscles in the area. Commonly associated symptoms with ankle pain are bruising, redness, numbness, stiffness, weakness, and tingling.

The most common causes of ankle pain are sprains and injuries. Ankle sprains are one of the most common musculoskeletal injuries. Sprains occur when the ligaments of the ankle become partially or completely torn due to sudden stretching. Sprains can occur on either the inner or outer sides of the ankle joint. Usually, these injuries occur when the ankle is twisted in an activity by stepping off an uneven surface. More specific causes include rheumatoid arthritis, gout, osteoarthritis, and Achilles tendonitis.

If you are experiencing ankle pain, you should consult with your podiatrist to choose the best method of care for you. Your doctor will conduct an examination of your ankle to determine the underlying cause of the pain.

Monday, 18 March 2019 00:00

Toenail Fungus

Toenail fungus is a frustrating problem that affects many people. It can be persistent and hard to get rid of. As many different types of fungi are present throughout the environment, it is very easy to contract toenail fungus.  

The feet are especially susceptible to toenail fungus because shoes and socks create the ideal dark and moist environment that fungal infections thrive in. While fungal infections of the nail plate are quite common, if left untreated they can spread beyond the toenail and into the skin and other parts of the body.

Signs of toenail fungus include a thickened nail that has become yellow or brown in color, a foul smell, and debris beneath the nail. The toe may become painful due to the pressure of a thicker nail or the buildup of debris.

Treatment for toenail fungus is most effective during the early stages of an infection. If there is an accumulation of debris beneath the nail plate, an ingrown nail or a more serious infection can occur. While each treatment varies between patients, your podiatrist may prescribe you oral medications, topical liquids and creams, or laser therapy. To determine the best treatment process for you, be sure to visit your podiatrist at the first signs of toenail fungus.

Monday, 18 March 2019 00:00

Symptoms of Toenail Fungus

One of the first symptoms of a condition that is known as toenail fungus is nail discoloration. Additionally, the nails may become thickened and brittle, and it is common for it to spread to other nails. This particular fungus lives and thrives in warm and moist environments which may include public pools, shower room floors, or locker rooms. Some patients may develop this fungus by having wet nails for the majority of the time, and this may come from wearing sweaty shoes and socks. People who are diabetic or have a weakened immune system may benefit from seeking immediate treatment. These patients may experience sores that do not heal properly, and an early diagnosis may determine if it is a nail infection. If you feel you may have this condition, it is suggested to speak to a podiatrist who can properly diagnosis and treat this ailment.

For more information about treatment, contact Dr. Harry I. Zirna of Lockport Foot Care, PLLC. Dr. Zirna can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

If you have any questions please feel free to contact our offices located in Lockport and Medina, NY. We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Monday, 11 March 2019 00:00

Plantar Warts

Plantar warts are growths that typically appear on the heels or other weight-bearing areas of the feet. These warts are caused by the human papillomavirus (HPV). The virus enters the body through breaks in the skin, such as cuts, that are on the bottom of the feet. Plantar warts are more likely to affect children and teenagers, people with weakened immune systems, people who have a history with plantar warts, and people who walk barefoot in environments exposed to a wart-causing virus.

If you suspect you have plantar warts, you may have the following symptoms: pain or tenderness while walking, a lesion that interrupts the ridges in the skin of your foot, small fleshy lesions on the bottom of the foot, or a callus where a wart has grown inward over a well-defined spot on the skin.

HPV causes plantar warts to form and is very common. There are more than 100 kinds of the virus in existence. However, only a few of them cause warts on the feet. The other types of HPV are likely to cause warts on other parts of the body.

If you have plantar warts, your podiatrist may try different treatment methods depending on your specific case. Some treatments for plantar warts are peeling medicines (salicylic acid), freezing medicines (cryotherapy), or surgical procedures. Laser treatments and vaccines are also used to treat plantar warts.

Warts are very common and come in many different forms. Plantar warts, also known as verrucae warts, differ from most other warts for various reasons. They only form on the sole of the foot and are a result of the human papillomavirus (HPV). They can easily be caught in places where there is moisture such as, locker rooms, pool areas, or saunas. Unlike most warts, plantar warts grow inward instead of outward. They plant themselves in the thick skin on the bottom of the foot, which can result in discomfort or pain. Discomfort and pain will increase when pressure is applied to the foot. Visually, they are flat, circular and have a small dent in the middle. Usually, they are dry with a black spot in the middle. If you think you might have plantar warts on the sole of your foot, then it is suggested you speak with a podiatrist in order to learn about treatment options.

Plantar warts can be very uncomfortable. If you need your feet checked, contact Dr. Harry I. Zirna from Lockport Foot Care, PLLC. Dr. Zirna will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

  • Lesions on the bottom of your feet, usually rough and grainy
  • Hard or thick callused spots
  • Wart seeds, which are small clotted blood vessels that look like little black spots
  • Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

  • Freezing
  • Electric tool removal
  • Laser Treatment
  • Topical Creams (prescription only)
  • Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

If you have any questions please feel free to contact our offices located in Lockport and Medina, NY. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Tuesday, 05 March 2019 00:00

Neuropathy

Neuropathy is a condition in which the nerves in the body become damaged from a number of different illnesses. Nerves from any part of the body, including the foot, can be damaged. There are several forms of neuropathy including peripheral neuropathy, cranial neuropathy, focal neuropathy, and autonomic neuropathy. Furthermore there is also mononeuropathy and polyneuropathy. Mononeuropathies affect one nerve while polyneuropathies affect several nerves. Causes of neuropathy include physical injury, diseases, cancers, infections, diabetes, toxic substances, and disorders. It is peripheral neuropathy that affects the feet.

The symptoms of neuropathy vary greatly and can be minor such as numbness, sensation loss, prickling, and tingling sensations. More painful symptoms include throbbing, burning, freezing, and sharp pains. The most severe symptoms can be muscle weakness/paralysis, problems with coordination, and falling.

Podiatrists rely upon a full medical history and a neurological examination to diagnose peripheral neuropathy in the foot. More tests that may be used include nerve function tests to test nerve damage, blood tests to detect diabetes or vitamin deficiencies. Imaging tests, such as CT or MRI scans, might be used to look for abnormalities, and finally nerve or skin biopsies could also be taken.

Treatment depends upon the causes of neuropathy. If the neuropathy was caused by vitamin deficiency, diabetes, infection, or toxic substances, addressing those conditions can lead to the nerve healing and sensation returning to the area. However if the nerve has died, then sensation may never come back to the area. Pain medication may be prescribed for less serious symptoms. Topical creams may also be tried to bring back sensation. Electrical nerve stimulation may be used for a period of time to stimulate nerves. Physical therapy can strengthen muscle and improve movement. Finally surgery might be necessary if pressure on the nerve is causing the neuropathy.

If you are experiencing sensation loss, numbness, tingling, or burning sensations in your feet, you may be experiencing neuropathy. Be sure to talk to a podiatrist to be diagnosed right away.

Tuesday, 05 March 2019 00:00

Noticeable Symptoms of Neuropathy

If you experience a tingling or numbing sensation in the nerves of the feet, you may have a condition that is referred to as peripheral neuropathy. This may occur as a result of genetic traits or medical conditions that may include thyroid disorders or diabetes. Additionally, the aging process or taking certain medications may add to the risk of developing neuropathy. Some of the symptoms that may be noticed can include weakness, clumsiness, or a loss of balance. Patients may feel cramping in the hands and feet or may feel dizzy while standing up from a chair. There may be medications that may be effective in treating neuropathy. If this condition occurs as a result of radiation or chemotherapy, successful recovery may take eighteen months or longer. If you are experiencing any symptoms of this condition, it is suggested to consult with a podiatrist who can properly guide you toward the correct treatment techniques.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Dr. Harry I. Zirna from Lockport Foot Care, PLLC. Dr. Zirna will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

  • Numbness
  • Sensation loss
  • Prickling and tingling sensations
  • Throbbing, freezing, burning pains
  • Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

If you have any questions, please feel free to contact our offices located in Lockport and Medina, NY. We offer the newest diagnostic and treatment technologies for all your foot care needs.

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